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Prostate Cancer Urine Gene Score

Minnesota rates for HCPCS 81313

A urine test, collected straight after a doctor examines the prostate, that measures two prostate-specific genetic messages and reports their ratio as a score. A higher score means a biopsy is more likely to find cancer, so it helps decide whether a biopsy is worth doing when a PSA result is borderline.

Facilitymedian $447 · 10th–90th $240$1,6600%20%10th90th$447Professionalmedian $257 · 10th–90th $200$3470%20%40%10th90th$257$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$338.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$524.81
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,659.59
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$446.68
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$151.36
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$309.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$549.54